Aurora Chiropractic Center Helps Relieve Hip/Glute Pain (GOIC)
Do you have pain in the butt, gluteus, hip area? Everyone describes this pain with different terminology, even doctors and researchers! This pain isn’t all that unusual for sciatic and back pain sufferers. Gluteal pain that just won’t go away – a “toothache in the butt” – is more well recognized today as its own issue often related to irritation of the sciatic nerve. Your Juneau chiropractor at Aurora Chiropractic Center is quite knowledgeable of the irritation of the sciatic nerve and its chiropractic care relief.
ANATOMY
There are many overlapping structures in the area of this gluteal/hip pain! The gemelli muscles are positioned in the posterior hip area. Along with the obturator internus, piriformis, and quadratus femoris muscles, the gemelli muscles were seen to allow external rotation of the thigh. (1) A cadaver and live volunteer study of the sciatic nerve during hip rotation demonstrated that throughout passive hip rotation, the sciatic nerve is very much linked to the gemelli-obturator internus complex, curving during passive internal rotation and relaxing during external hip rotation. (2) In an ultrasound study of the motions of gluteal and subgluteal muscles, researchers discovered that passive movements of hip rotation and isometric contraction of muscles impacted the sciatic nerve in the subgluteal space. They proposed that these passive movements may well affect the sciatic nerve, producing retrotrochanteric pain in the gluteus. (3) Your Juneau chiropractor sees how anatomy impacts how pain is experienced daily!
ANATOMY AND PAIN: The Sciatic Nerve
Right in the heart of|In the middle of all these gluteal muscles is the sciatic nerve that extends from the spine to the toes. Back in 2009, an early report of sciatic nerve compression presented how endometriosis, abscess, tumor, adjoining uterus, piriformis syndrome and newly presented sciatic neuropathy due to compression of the sciatic nerve by obturator internus tendon and muscle may well be causes for sciatic pain. (4) Even earlier, in 2005, a chiropractic radiologist/clinician and a chiropractic anatomist correlated the clinical presentation of deep gluteal, sciatica-like pain in back pain patients with continual aching pain in the retrotrochanteric area of the hip and upper posterolateral thigh. The anatomist described how the structures in this area contained the gemelli-obturator internus muscle complex and related bursae. (5) Aurora Chiropractic Center finds this to be a small area for everything to fit!
TERMINOLOGY
A review of just what is published about deep gluteal syndrome – pain in the gluteus – stated that deep gluteal syndrome has been more recounted in the medical literature lately but named in a variety of ways: piriformis syndrome, gemelli-obturator internus syndrome, ischiofemoral impingement syndrome, proximal hamstring syndrome. Reviewers defined this deep gluteal syndrome as posterior hip pain as a result of nerve entrapment beyond the piriformis syndrome which can be caused by nerve entrapment. If not pathological, the nerve entrapment of deep gluteal syndrome can be conservatively treated. (6) Medical conservative and Juneau chiropractic conservative each offer different options. Aurora Chiropractic Center can help.
CONSERVATIVE TREATMENT OPTIONS
Before more invasive treatments are done, conservative options are attempted. Medical approaches were enumberated as rest, avoiding irritating movements, taking meds, receiving injections, or undergoing physiotherapy. Patients with persistent or recurrent symptoms after conservative treatment may undergo surgery. (6) Chiropractors like your Juneau chiropractor deliver conservative care effectively for most. The clinician-author described conservative treatment as goading of the bursa/sciatic nerve/muscle area – discussed as the GOIC (gemelli obturator internus complex) area – along with Cox® Technic flexion distraction decompression of the lumbar spine L5S1 area to relieve irritation of the sciatic nerve. (5) Relief is often forthcoming for Juneau chiropractic patients with this approach.
CONTACT Aurora Chiropractic Center
Listen to this PODCAST with Dr. Clint Dickason on The Back Doctors Podcast with Dr. Michael Johnson as he describes the relief with The Cox® Technic System of Spinal Pain Management.
Make your Juneau chiropractic appointment now. The gluteal/butt/hip pain – whatever its name – may get relief at last!
